Home » Montana » 59917 » Haines Drug Eureka, Inc.

Haines Drug Eureka, Inc.

Haines Drug Eureka, Inc. is a health care provider in Eureka, MT. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 998 Hwy. 93 N., Eureka, MT 59917, US
Practice Location Phone406-297-3496
Practice Location Fax406-297-7496
Legal Business NameHAINES DRUG EUREKA, INC.
Other Organization NameHAINES DRUG
Other Organization Name TypeDoing Business As Name
NPI ?1649222001
Entity TypeOrganization
Enumeration Date ? May 16, 2006
Last Update Date ? Dec 13, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Haines Drug Eureka, Inc.

SpecialtySpecializationLicenseLicense State
PharmacyCommunity/Retail Pharmacy 787Montana

legacy-id-icon Legacy Provider IDs of Haines Drug Eureka, Inc.

Provider IdIssuer StateIssuer TypeIssuer
214552MontanaMedicaid
BH3952935MontanaOtherDEA #
2705323MontanaOtherNABP #
787MontanaOtherMT PHARMACY #

official-icon Authorized Official of Haines Drug Eureka, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Haines Drug Eureka, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Justin S Mackenzie (PHARM. D)
Authorized Official Title/PositionPHARMACIST/ASSISTANT MANAGER
Authorized Official Phone Number406-297-3496